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HomeMy WebLinkAboutX2022-0481 - Permits� Na'rk City of Newport Beach - Building Division 111111111 ill 111111111111111111111111111111111111111 COMB Permit: X2022-0481 r „; 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 4 8 1 H n Permit Counter Phone (949)644-3288 Project NO : 2284-202t u te""' T Inspection Requests Phone (949)644-3255 °',� <.�*„+r Combination Type - BLDG PLUM Issued Date : 02/17/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/17/2025 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1323 ASHFORD LN NB Description: DEMO SFR & GARAGE 2602 SF. 4 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: N TR 3764 LOT 6 Owner: WHEELER JUSTIN Contractor: WILLHOIT CONSTRUCTION INC Architect: CHILDS CYNTHIA Address: 1323 ASHFORD LN Address: 1278 GLENNEYRE ST #213 Address: 2732 E COAST HWY #B NEWPORT BEACH, CA 92660 LAGUNA BEACH CA 92651 CORONA DEL MAR CA 92625 Phone: Phone: 949-285-5444 Phone: 949-718.3528 State Lic:CO22985 Applicant: AUSTIN PAT Con State Lic: 941138 Engineer: SHEPPARD STEVEN THOMAS Address: 2732 E COAST HWY STE B Lic Expire: 11130/2022 Address: 28782 EL MIO LANE CDM CA 92625 Bus Lic: BT30040606 MISSION VIEJO CA 92692 Phone: 949-718-3528 Lic Exp Date: 08/31/2022 Phone: 949.481.9669 State Lic:S-005446 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: Plan Check Fee: $0.00 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety Disabled Access Hazardous Mat Building Green Fee PROCESSED BY: 2019 Worker's Compensation Insurance V-B Carrier: ESG R3/U Policy No: C69994209 0 Expire: 02/01/2023 0 Building Setbacks Rear: / Front: / Left: / Right: / Designer: Address: INSPECTOR �/�• Phone: j 1 itl S P L.-CTO R Special Conditions: TIGHT QUARTERS TO HAUL DEBRIS Fire Hazard Zone : N $0.00 Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee $0.00 Grading Bonds Fee: $0.00 Fair Share $0.00 Grading PC Consultant : $0.00 SJH Trans $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee $0.00 Grading PC Fee: $0.00 Public Works Department - $0.00 WO Insp. Fee: $152.00 Park Dedication : $0.00 $0.00 PAN Plan Check: $0.00 $0.00 Electrical %: $0.00 San Dist: $0.00 $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $2,137.00 ZONING APPROVAL: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,137.00 PUBL'C AVCRKS APPROVAL: PLAN CNECK,BY' GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or I_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro esswns Code and my license is in full force and effect. License Class License No Da ( 2 Contractor Sig nature�*� WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S70D,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th e Mence of the work for which this permit is issued. Policy No. h ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workerscompensatiol "nsura ce carrier and policy number are: Policy Number Date Jame of Agent rnone iF :1I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become subject to the workers' (compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Signature of Applicant N 1 //6Li Q41� )ECLARATION REGARDING STRUCTION LENDING AGENCY �l hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county o enter the bove-identified property for inspection purposes. (� Signature of Property Owner or Authorized Agefi Print Property Owner's or Authorized Agent's Name WSC>'^ t'�07 Cn Data ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATI^N TO PERMIT CANCELLED A _ PERMITEXTENDED _ UMD _ PERMIT FINAL 37Tqf ZZ ASBESTCJ NO 11FICATION IS NOT APPLICABLE TO CERTIFICATE OF PRnPCSEJ REMOLJTiON {� OCCUPANCY 155UED ' SIONATURER V